在青少年竞技网球运动员的肩部旋转强度,肩部运动范围和肩部受伤发生率之间存在异常和同度的关联:SMASH队列研究
Fredrik Johansson1,2,3, Mark Batt4, Todd Ellenbecker5
1Department of Health Promoting Science, Musculoskeletal and Sports Injury Epidemiology Center, Tennis Research and Performance Group, Sophiahemmet University, Stockholm, Sweden.
Sports health
|November 22, 2025
概括
这项研究发现,青少年网球运动员具有更高的异常外部旋转 (eccER) 和同度内部旋转 (IIR) 肩部强度,更容易出现肩部投诉和伤害. 这些发现凸显了针对性力量训练对年轻运动员伤害预防的重要性.
科学领域:
- 运动医学 运动医学
- 生物力学 生物力学
- 整形外科 整形外科 整形外科
背景情况:
- 青少年运动员面临复杂的多因素伤害原因.
- 在网球比赛中,肩膀受伤很常见,每1000小时打球就有8.2个.
- 在这个人群中,肩膀强度,运动范围 (ROM) 和受伤之间的联系存在有限的研究.
研究的目的:
- 调查异常和同度肩部肌肉强度和/或肩部运动范围 (ROM) 与青少年竞技网球运动员的新肩部疾病和/或损伤之间的关联.
主要方法:
- 一项队列研究对301名青少年网球运动员 (年龄在13-19岁) 进行了52周的跟踪.
- 基线评估包括问卷,肩膀强度和ROM协议.
- 考克斯回归分析被用来确定与肩部投诉和损伤的关联.
主要成果:
- 较高的异常外部旋转 (eccER) 强度与肩部投诉的1.3 HRR有关.
- 较高的同度内部旋转 (IIR) 强度 (90-90位置) 与肩部受伤的1.4 HRR有关.
- 对体重正常化的eccER强度显示,肩部受伤的HRR为1.5 HRR.
结论:
- 增加的eccER肩部强度,IIR强度 (90-90),以及身体质量正常化的eccER强度与青少年网球运动员的肩部抱怨/受伤有关.
- 一个精心策划的训练计划,专注于体积和强度,对于建立弹性和最大限度地减少肩部受伤风险至关重要.
相关概念视频
Muscles of the Shoulder
8.6K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
8.6K
Muscles that Move the Arm
4.6K
Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
4.6K
Isotonic and Isometric Muscle Contractions
6.5K
Two primary types of muscle contractions are isotonic and isometric, each serving unique functions and involving distinct mechanisms. Both isotonic and isometric contractions are integral to the body's complex system of movement and stability. Isotonic exercises contribute significantly to functional strength and movement, while isometric contractions are crucial for maintaining posture and joint stability.
Isotonic contractions
Isotonic contractions occur when a muscle changes length while...
Isotonic contractions
Isotonic contractions occur when a muscle changes length while...
6.5K
Rotation of Asymmetric Top
1.5K
By definition, a spherically symmetric body has the same moment of inertia about any axis passing through its center of mass. This situation changes if there is no spherical symmetry. Since most rigid bodies are not spherically symmetric, these require special treatment.
The relationship between the angular momentum of any rigid body and its angular velocity, both of which are vectors, involves the moment of inertia. The moment of inertia is a scalar quantity only for spherically symmetric...
The relationship between the angular momentum of any rigid body and its angular velocity, both of which are vectors, involves the moment of inertia. The moment of inertia is a scalar quantity only for spherically symmetric...
1.5K
Muscle Coordination and Action
3.0K
Muscle coordination is a complex and finely tuned process essential for smooth and purposeful movements like flexion, extension, adduction, abduction, and rotation. The human body orchestrates the actions of various muscles working in concert, each with a specific role. Four functional types describe how muscles work together: agonist, antagonist, synergist, and fixator.
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement....
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement....
3.0K
Eccentric Axial Loading in a Plane of Symmetry
529
Eccentric axial loading occurs when an axial load is applied away from the centroidal axis of a structural member. This scenario is common in engineering, where structural elements may not be directly aligned due to various design or functional requirements.
529


